Smoking and sleep apnea duration mediated the sex difference in daytime sleepiness in OSA patients
| Autor: | Wei Wang, Jiahuan Xu, Xiaomeng Li, Zhijing Wei, Fang Zhang, Jiawei Zhou, Wenyang Li, Xingjian Wang |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Rapid eye movement sleep Sleep REM Polysomnography Disorders of Excessive Somnolence Severity of Illness Index Cigarette Smoking Sex Factors Bayesian multivariate linear regression Internal medicine medicine Humans Retrospective Studies Sex Characteristics Sleep Apnea Obstructive medicine.diagnostic_test business.industry Epworth Sleepiness Scale Sleep apnea Apnea Retrospective cohort study Middle Aged medicine.disease nervous system diseases respiratory tract diseases Obstructive sleep apnea Otorhinolaryngology Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Sleepbreathing = SchlafAtmung. 25(1) |
| ISSN: | 1522-1709 |
| Popis: | Daytime sleepiness is a common symptom of obstructive sleep apnea (OSA) and is more common in men, but the underlying mechanism remains unclear. The aim of this study was to assess whether or not sex differences in daytime sleepiness persisted after controlling for age and OSA severity and to explore the factors contributing to daytime sleepiness in patients with OSA. A total of 104 pairs of patients with OSA, matched by age and apnea-hypopnea index (AHI), were enrolled in this retrospective study. Demographic data were collected; daytime sleepiness was measured by the Epworth Sleepiness Scale (ESS); and polysomnography (PSG) was performed on each participant. These measurements were compared between sexes, and the factors affecting daytime sleepiness were explored with correlation and multivariate linear regression analyses. Men had significantly higher ESS scores (p = 0.021) than women. Regarding demographics, BMI, neck/height ratio, and proportion of habitual smoking and alcohol intake were significantly higher in men. Regarding PSG findings, men had more rapid eye movement sleep, a longer mean apnea-hypopnea duration, and a longer mean apnea duration (MAD). Regression analysis showed that two sex-associated variables, habitual smoking (β = 0.189, p = 0.006) and MAD (β = 0.154, p = 0.024), had the strongest association with ESS scores. Further analysis revealed that MAD was significantly influenced by apnea index (β = 0.306, p |
| Databáze: | OpenAIRE |
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